| NPI | 1932370111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAN RONCEVIC General Manager 630-516-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023516) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |